AADA - Medical Professionals

MEDICAL PROFESSIONALS

You can also choose to download the print version of our request form by clicking here.

ONLINE REQUEST FORM
The Australian Addison's Disease Association has now made available a complimentary pack aimed at General Practitioners, Endocrinologists, Endocrine Nurses and any medical practitioner in Australia who would like to offer accurate and important information to their patients with Addison's disease.

This pack includes the new Addison's disease pamphlet (written in conjunction with Endocrinologists), a complimentary newsletter, membership forms, emergency treatment letter, Awareness Week flyers where relevant and other information introducing the Association.

To order a FREE complimentary pack, newsletter or replacement brochures, simply fill in the form below and it will be sent to you by mail. (Available only inside Australia & New Zealand.)

Note: We can only post to a medical facility or practice. If you are a patient, please visit our membership page.

Request Form
	Title
*	First Name
*	Surname
*	Practice/Hospital Name
	Clinic or Attention name (if applicable)
*	Street Address/PO Box (practice/hospital addresses only)
*	City
*	State
*	Postcode
	Contact Phone

*	Do you have a patient with Addison's?	Yes No
*	What is your field?

*	Supply me with:
	Single complimentary pack	(also includes a newsletter and brochures)
	Complimentary newsletters	(sent bi-monthly)
	A pack of brochures	(10 per pack)

	Comments




Please note, we will NOT publish your details. This information is only to assist us in supplying you with relevant material. All medical information supplied has been written in conjunction with endocrinologists and medical professionals. *=required field


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Disclaimer: The material on this website has the intention of offering information as unbiased "information only" and is not intended to be complete. The authors of this website do not practice medicine, they are members of a support group. The intention is only to give information to patients and others about these disorders and the support that is available. We urge you to contact your doctor(s) before making any changes to your treatment.